复明九号车仙桃基地白内障复明手术临床观察

Clinical observation of Fuming No.9 car's cataract operation in Xiantao base

目的:回顾分析湖北省复明九号车仙桃基地为期25d,免费为贫困白内障患者施行白内障复明手术的临床疗效。方法:为经过严格筛查适合手术复明的贫困白内障患者,施行白内障超声乳化吸除术(或小切口非超声乳化白内障摘除术)及人工晶状体植入术。结果:本组270眼术后视力:1.2者2眼,1.0者25眼,0.8者21眼,0.6者48眼,0.5者33眼,0.4者33眼。共162眼,占60.00%。低视力:二级低视力0.3者46眼,0.2者33眼,一级低视力0.1者4眼,0.09～0.05者2眼。共85眼,占31.48%。盲:二级盲0.04～0.02者15眼,一级盲:指数8眼。共23眼,占8.52%。脱盲率91.48%。脱残率77.03%。结论:只有精心的术前筛查,规范的把握适应证和娴熟的手术技能,全程严格控制感染,才能保证手术车上短期大量手术的质量。而脱盲率和脱残率的高低,则主要由患者群自身综合因素决定。

AIM. To look back and analyse clinical effect of free cataract operation on poor cataract patients by Fuming No. 9 car of Hubei Province staying in Xiantao for 25 days. METHODS： The poor cataract patients who were strictly selected and suitable to operation were performed small incision non-phacoemulsification cataract extraction and intraocular lens implantation. RESULTS： The 270 eyes＇ post-operation vision in our group： 1.2 （2 eyes）, 1.0 （25 eyes）, 0.8 （21 eyes）, 0.6 （48 eyes）, 0.5 （33 eyes）, 0.4 （33 eyes）, totally 162 eyes and account for 60.00%. Low vision： second low vision 0.3 （46 eyes）, 0.2 （33 eyes）, first low vision 0.1 （4 eyes）, 0. 09-0.05 （2 eyes）, totally 85 eyes and account for 31.48%. Blindness： second blindness 0. 04-0. 02 （15 eyes）, first blindness （8 eyes）, totally 23 eyes and account for 8. 52%. Off-blind rate： 91.48%. Off-remnant rate：77.03%. CONCLUSION： Only through careful pre-operation selection, standard holding suitability, proficient operation skills and strictly controlling infection, can the quality of mass operation be guaranteed in operation car in a short time. However, the high and low of off-blind rate and off-remnant rate are primarily decided by the composite factors of patients themselves.